diabetes Nexus Letter

[Charleese]

Is this a good nexus letter for ED & Diabetes:

To whom it may concern,

Mr. XXXXX has been examined and found to have Left testicular atrophy. After reviewing his medical records while in the service in 1955, it appears that Mr. XXXX suffered parotitis (mumps) and complicating orchitis, which caused the testicular atrophy. Futhermore, because of the injury to his left knee and prolonged periods of forced inactivity, Mr. XXXX developed obesity which greatly contributed to the development of his diabetes.

Sincerely

Dr. XXXXXXX

If this is not a good nexus letter for both please let me know as to why. Thanks in advance for your replies.

[Philip Rogers]

I can't tell you exactly but the Dr should make reference to any published articles/writings that bring him to this conclusion. Also he should review and state that he reviewed any and all records since 1955 to current date. He needs to explain why he has drawn these conclusions. jmo

pr

Is this a good nexus letter for ED & Diabetes:

To whom it may concern,

Mr. XXXXX has been examined and found to have Left testicular atrophy. After reviewing his medical records while in the service in 1955, it appears that Mr. XXXX suffered parotitis (mumps) and complicating orchitis, which caused the testicular atrophy. Futhermore, because of the injury to his left knee and prolonged periods of forced inactivity, Mr. XXXX developed obesity which greatly contributed to the development of his diabetes.

Sincerely

Dr. XXXXXXX

If this is not a good nexus letter for both please let me know as to why. Thanks in advance for your replies.

[fanaticbooks]

Charleese,

I don't know if it is good or not, but here is something I have linked on my website. Maybe it will help you.

http://veteransinfo.tripod.com/nexus2.pdf

I wish you good journey.

fanaticbooks

[Berta]

"Futhermore, because of the injury to his left knee and prolonged periods of forced inactivity, Mr. XXXX developed obesity which greatly contributed to the development of his diabetes."

If this is to service connected diabetes as secondary to a SC left knee injury, I think the doc needs a much strong medical rationale then that.

The VA could use any other contributing factors to rule out this part of the opinion.

But it is perhaps possible.

I saw a widow's claim years ago in which the veteran died of NSC heart disease and had SC hearing loss.

She proved the SC HL (due to vertigo from it)made him so sedentary that he got no exercise and thus it contributed to his heart disease.

The BVA awarded DIC.

[cooter]

I would have to agree with Berta. JMO, but I think even a good IMO would still make it hard to fly. Again, to many contributing factors the VA can use against him. I think he would have a better chance if he claimed depression was the factor, but then again, that would still be an up hill battle. Anyway's, Good Luck!